Total Knee Replacement-Revision(TKR)

A 48 year old gentleman underwent bilateral primary Total Hip Replacement in 1994. A revision Right Total Hip Replacement(THR) was done in 1997 due to early component loosening. He was comfortable for the last 15 years. He presented to us with complaints in hip and thigh region since last 1 year. Pain had progressively increased over a period of time. On examination there was no gross instability or any evidence of infection. X-rays showed loosening of the femoral component.
A re-revision Total Hip Replacement with uncommented acetabular cup and long uncommented Wagnerstem has been done. Patient was comfortable and walking with a frame at 2 weeks.

Infected 2nd Stage Revision Total Knee Replacement (RHK)

A 70 year old diabetic and hypertensive gentleman underwent B/L Total Knee Replacement(TKR) 2 years back. He developed pain andswelling in Right knee. For which aspiration of knee was done which confirmed infection. Initially nonoperative treatment with long term suppressive antibiotics was done which failed. Thereafter we planned for2 stage revision Total Knee Replacement(TKR).

Management of infected Total Knee Replacement(TKR) is challenging and very few centers in the country are routinely doing these cases. We at our center follow a 2 stage protocol for these cases. In the 1st stage n infected prosthesis is removed along with thorough debridement and antibiotic mixed cement spacer is placed. In the 2nd stage the spacer is removed and a revision prosthesis Right Hip Replacement(RHK) is implanted.At 2 weeks post-operatively the patient is walking comfortably with a frame.